Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,388.21 / $4,933.00 / $4,933.00	Facility		$1,388.21	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $925.56 / $1,388.21 / $1,441.61	Professional		$925.56	$1,388.21	$1,441.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.39 / $5,567.33 / $7,584.24	Facility		$4,769.39	$5,567.33	$7,584.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.38 / $1,626.90 / $2,714.40	Professional		$325.38	$1,626.90	$2,714.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.22 / $1,212.85 / $2,257.42	Professional		$776.22	$1,212.85	$2,257.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,041.76 / $4,933.00 / $4,933.00	Facility		$1,041.76	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,041.76 / $1,198.02 / $1,739.70	Professional		$1,041.76	$1,198.02	$1,739.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.11 / $822.66 / $1,321.67	Professional		$103.11	$822.66	$1,321.67
United Facility/Professional Facility Modifier Low / Median / High Price $4,312.24 / $8,937.00 / $13,467.45	Facility		$4,312.24	$8,937.00	$13,467.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,040.73 / $1,303.13 / $1,768.65	Professional		$1,040.73	$1,303.13	$1,768.65